California Healthline: What’s Behind High Opt-Out Rate Among Dual Eligibles in L.A. County?

by David Gorn

he state’s duals demonstration project has hit a rough patch in Los Angeles County.

Health officials are in the middle of an effort to enroll a large segment of the state’s dual-eligible population in Cal MediConnect — a seven-county pilot project designed to coordinate care and funding for about 430,000 Californians who qualify for both Medi-Cal and Medicare.  

Los Angeles County has the state’s highest number of dual eligibles. State officials hope to get about 200,000 — or roughly half the pilot project’s total targeted enrollment — signed up in Cal MediConnect. But people in that county are staying away from the project in droves.

In the state’s October tally, the Los Angeles opt-out rate hit 50%, and last month it dipped slightly to 40%. Those rates are significantly higher than the statewide average of about 29% in the other participating counties.

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